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SR0084108
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084108
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Last modified
9/7/2021 4:30:47 PM
Creation date
9/7/2021 4:17:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084108
PE
4211
FACILITY_NAME
5389 E LIBERTY RD
STREET_NUMBER
5389
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632
APN
00521022
ENTERED_DATE
8/20/2021 12:00:00 AM
SITE_LOCATION
5389 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: CJ �A (_,r—Ce-- f , PERMIT# IO <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: ,q <br /> CORRECT TANK CAPACITY? N <br /> DISTANCE TO FOUNDATION? 3O N <br /> DISTANCE TO PROPERTY LINE? 'LD N <br /> DISTANCE TO ANY WELLS? N <br /> TANK LEVEL AND ORIENTED CORRECTLY? `-> N <br /> SANITARY TEES CORRECTLY INSTALLED? Y N <br /> CORRECT TYPE OF PIPING? Y N <br /> TANK VENTED? N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? Cj N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? N <br /> IS D-BOX LEVEL? Y N <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) t <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? V N <br /> DISTANCE TO NEAREST FOUNDATION? ,� —��� N <br /> DISTANCE OF SOIL BARRIER BETWEEN LUS? �� N <br /> CORRECT DEPTH OF LL TRENCHES? <br /> CORRECT DEPTH AND TYPE OF ROCK? ✓ N <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? % (�' ty <br /> N <br /> CORRECT TYPE OF PIPING? �� j � TN <br /> OTHER N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? N <br /> DISTANCE TO ANY WATER WELLS? Z S Co N <br /> DISTANCE TO NEAREST FOUNDATION? L'j_Q�� N <br /> DISTANCE OF SOIL BARRIER TO PITS? N <br /> CORRECT DEPTH AND TYPE OF ROCK? N <br /> CORRECT WIDTH? �'L�� N <br /> OTHER Y N <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? (1) N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? P N <br /> ANY NO ANSWER ABOVE REQUIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: <br /> INSPECTED BY:/��'1`�v", � DATE: q <br />
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